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Prevalence, awareness, treatment and control of hypertension in adults with diagnosed diabetes: The Fourth Korea National Health and Nutrition Examination Survey (KNHANES IV)

Journal of Human Hypertension volume 27, pages 381–387 (2013)Cite this article

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Abstract

We evaluated the prevalence, awareness, treatment and control of hypertension in Korean adults with diagnosed diabetes using nationally representative data. Among subjects aged ⩾30 years who participated in the Fourth Korea National Health and Nutrition Examination Survey in 2007 and 2008, a total of 745 subjects (336 men and 409 women) with a previous diagnosis of diabetes mellitus were analyzed. The prevalence of hypertension in adults with diagnosed diabetes was 55.5%. The rates of awareness, treatment and control were 88.0, 94.2, and 30.8%, respectively. Compared with the general population, the prevalence of hypertension in adults with diagnosed diabetes was higher in all age groups in both genders. Factors independently associated with a high prevalence of hypertension included being male, increasing age, single, <9 years of education, the presence of chronic kidney disease risk, hypercholesterolemia (⩾240 mg dl−1) and high body mass index (⩾25 kg m−2). Regular medical screening was positively associated with hypertension control, whereas a high triglyceride level (⩾150 mg dl−1) was inversely associated. A high prevalence and a low control rate of hypertension in adults with diagnosed diabetes suggest that stringent efforts are needed to control blood pressure in diabetic patients.

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Acknowledgements

We wish to acknowledge the financial support of the Catholic Medical Center Research Foundation made in the program year of 2011. In addition, this study was partly supported by a grant of the Korea Healthcare Technology R&D Project, Ministry for Health, Welfare and Family Affairs, Republic of Korea (A084001).

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Author notes

  1. H-S Lee and S-S Lee: These authors contributed equally to this paper.

Authors and Affiliations

  1. Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea

    H-S Lee

  2. Division of Endocrinology and Metabolism, Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea

    S-S Lee, J-W Son & S-H Ko

  3. Department of Nursing, Kyungbok University of Korea, Pochon, Republic of Korea

    I-Y Hwang

  4. Division of Vaccine Preventable Diseases Control and National Immunization Program, Korea Centers for Disease Control and Prevention, Osong, Republic of Korea

    Y-J Park

  5. Department of Pharmaceutical Benefit, Health Insurance Review & Assessment Service, Seoul, Republic of Korea

    S-H Yoon

  6. Department of Preventive Medicine, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea

    K Han, H W Yim, W-C Lee & Y-M Park

  7. Department of Biostatistics, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea

    Y G Park

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  1. H-S Lee
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Correspondence to Y-M Park.

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The authors declared no conflict of interest.

Additional information

A portion of the work was previously presented at the 8th International Diabetes Federation Western Pacific Region (IDF WPR) Congress. Busan, Korea, October 17–20, 2010.

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Lee, HS., Lee, SS., Hwang, IY. et al. Prevalence, awareness, treatment and control of hypertension in adults with diagnosed diabetes: The Fourth Korea National Health and Nutrition Examination Survey (KNHANES IV). J Hum Hypertens 27, 381–387 (2013). https://doi.org/10.1038/jhh.2012.56

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